Lisa Buckloh, PHD
NPI 1811003734 · Clinical Child & Adolescent Psychologist · Jacksonville, FL
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Buckloh, PHD is a Clinical Child & Adolescent Psychologist provider in Jacksonville, FL (NPI 1811003734).
Provider details
- NPI number
- 1811003734
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- PY6027 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2011-09-07
Frequently asked questions
- What is Lisa Buckloh's NPI number?
- Lisa Buckloh's National Provider Identifier (NPI) is 1811003734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Buckloh's specialty?
- Lisa Buckloh is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Lisa Buckloh located?
- Lisa Buckloh's practice location on file with NPPES is 807 Childrens Way, Jacksonville, FL 32207-8426.
- What is Lisa Buckloh's phone number?
- The practice phone number listed in the NPPES registry for Lisa Buckloh is (904) 390-3600.
- Does Lisa Buckloh accept Medicare?
- Lisa Buckloh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Buckloh's NPI active?
- Yes — Lisa Buckloh's NPI (1811003734) is active in the NPPES registry as of the last update on 2011-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.